Was not taking anything for copd last year, now i need combivent (albuterol and ipratropium) or a/a neb tx every 4 hours around clock. drs don't know why. moved to new apt 2/14?

Acute vs. Permanent : Do you have Baseline Pulmonary Function Test results from previous years. If there is significant Decrease in FEV1 then you will no that this real otherwise an acute exacerbation such as upper respiratory viral illness might worsen your short term Inhaler requirements as well.See your pulmonologist t address these questions.

See below: Based on what you listed, sounds like you need to be evaluated and potentially have a few tests done. You also likely need to be on a maintenance medication. Depending on what state you are in, I would be happy to do a second opinion with you.